Cornerstone Pharmacy Kennett, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CORNERSTONE PHARMACY KENNETT, LLC

Practice address

123 1St St
Kennett, MO 63857-2051

Phone

(573) 888-9094

Fax

(573) 888-5946

NPI assigned

Apr 4, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenny Harrison, PHARMD

Title

Owner

Phone

(501) 580-1895

Specialties & licenses 1

Addresses

Other names 1

• Cornerstone Pharmacy Kennett LTC Doing business as

Tax ID family

Cornerstone Pharmacy Kennett LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cornerstone Pharmacy Kennett

  • Community/Retail Pharmacy
  • Kennett, MO
  • NPI 1497174825
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin Garner, PHARMD

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Kennett, MO
  • NPI 1831848332
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1003668807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 1ST ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638572051",
            "telephone_number": "573-888-9094",
            "fax_number": "573-888-5946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 1ST ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638572051",
            "telephone_number": "573-888-9094",
            "fax_number": "573-888-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PHARMACY KENNETT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-580-1895",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Pharmacy Kennett LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla Cook
• Dawn Coolbaugh
• Grant Cooley-Smith
• Nancy Beth Copeland
• Cornerstone Pharmacy Kennett
• Christy Lynn Coronado
• Kathleen Cosby, LPN
• Cotton Boll Handicapped Housing
• Cotton Boll Handicapped Housing Inc.
• Bryan Covington

• Long Term Care Pharmacy in Kennett, MO
• Providers in Kennett, MO by specialty
• Long Term Care Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.